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July 1985

Streptococcal Cellulitis Proved by Skin Biopsy in a Coronary Artery Bypass Graft Patient

Author Affiliations

From the Department of Medicine, Section of Dermatology, St Vincent Hospital and Health Care Center, Indianapolis.

Arch Dermatol. 1985;121(7):908-909. doi:10.1001/archderm.1985.01660070098026

• There has been a question about the etiology and pathogenesis of recurrent cellulitis of the lower leg in patients following coronary artery bypass graft surgery. We observed a similar patient who had gram-positive cocci in chains, consistent with streptococci, within the dermis in a tissue biopsy specimen taken from the site of cellulitis. In addition, our patient had a second skin infection, namely, tinea pedis, which may be the portal of entry for streptococci. Concurrent treatment with a systemic antibiotic and a topical antifungal cream was effective in clearing both infections.

(Arch Dermatol 1985;121:908-909)